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Psychiatric hospital · Staunton, Virginia · 112 beds · CMS certification number 494021

Commonwealth of Virginia Western State Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, settled, stamped by CMS January 9, 2026. Eleven years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$7.5M
$7,459,541 · G-3 line 3
Operating expenses
$110.5M
$110,496,948 · G-3 line 4
Result from patient care
−$103.0M
−$103,037,407 · G-3 line 5
Margin on patient care
−1381.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue fell from $7.9M in its first year on file (2015) to $7.5M in 2025.
  • Its result from patient care: −$78.6M (2023), −$95.2M (2024), −$103.0M (2025).
  • 2 of the 5 psychiatric hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.

Every statement is drawn from figures on this page; nothing is estimated.

Eleven years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2015
settled
$7.9M
$54.3M
2016
settled with audit
$6.3M
$64.6M
2017
settled
$6.2M
$49.6M
2018
settled with audit
$5.5M
$66.8M
2019
settled
$6.6M
$69.6M
2020
settled
$6.4M
$72.0M
2021
reopened
$5.8M
$73.1M
2022
reopened
$4.0M
$82.5M
2023
settled
$4.7M
$83.3M
2024
settled
$5.4M
$100.6M
2025
settled
$7.5M
$110.5M

Beside its peers

Psychiatric hospitals in Virginia with 100 to 199 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Commonwealth of Virginia Western State Hospital112$7,459,541$110,496,948−1381.3%
Commonwealth of Virginia Catawba Hospital, Catawba132$8,484,444$43,991,293−418.5%
Dominion Hospital, Falls Church116$44,543,930$31,223,88229.9%
Poplar Springs Hospital, Petersburg144$45,353,941$39,815,06812.2%
Department of Behavioral Health and Development Services, Marion109$14,495,960$72,276,011−398.6%
Virginia Beach Psychiatric Center, Virginia Beach100$24,119,167$23,997,0230.5%

Patients and payers

Discharges
886
S-3 line 14, col 15
Inpatient days
37,379
S-3 line 14, col 8
Beds in use, on an average day
102.7
days ÷ days in year
Occupancy
91.4%
days ÷ bed days
Medicare share of days
4.6%
S-3 cols 6 ÷ 8

Who owns it

Related organizations on its own cost report: DBHDS (100%), mental health; VAR AGENCIES (100%), mental health.

Type of control on its cost report: governmental, state.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 494021. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read January 9, 2026.